Gialafos J, Siamas G, Kandilas J, Gatzoulis K, Toutouzas P
State Cardiac Department, Athens Medical School, Hippokration Hospital, Greece.
Pacing Clin Electrophysiol. 1995 May;18(5 Pt 1):1068-71. doi: 10.1111/j.1540-8159.1995.tb04751.x.
We present three cases of an unusual pacing lead aberration occurring at different times after implantation. In the first patient, the electrode was twisted close to the pacemaker, and dislodgment occurred on the 40th postoperative day. In the second case, there was only proximal twisting of the electrode. In the third case the electrode was twisted in two places: proximal to the pacemaker, and distal, within the right atrium. The complication was managed successfully by reimplanting the same electrode after stiffening the lead near the generator with a portion of the stylet.
我们报告了3例植入后不同时间发生的异常起搏导线畸变病例。第一例患者，电极在靠近起搏器处扭曲，术后第40天发生电极脱位。第二例中，仅电极近端发生扭曲。第三例中，电极在两个部位扭曲：一处在起搏器近端，另一处在右心房内的远端。通过用一部分引导钢丝在发生器附近加固导线后重新植入同一电极，成功处理了该并发症。
